Vulva: Difference between revisions
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{{Top | <noinclude>{{Top | ||
|author1=[[User:Mikael Häggström|Mikael Häggström]] | |author1=[[User:Mikael Häggström|Mikael Häggström]] | ||
|author2= | |author2= | ||
}} | }}</noinclude> | ||
==Gross processing== | ==Gross processing== | ||
Generally as per '''[[skin]]'''. | Generally as per '''[[skin]]'''. | ||
==Microscopic examination== | ==Microscopic examination== | ||
[[File:Histopathology of high-grade squamous intraepithelial lesion (HSIL) of vulva.jpg|thumb|Histopathology of '''high-grade squamous intraepithelial lesion (HSIL)''' of vulva (left in image) with full thickness dysplasia, compared to normal epithelium at right.]] | [[File:Histopathology of high-grade squamous intraepithelial lesion (HSIL) of vulva.jpg|thumb|320px|Histopathology of '''high-grade squamous intraepithelial lesion (HSIL)''' of vulva (left in image) with full thickness dysplasia, compared to normal epithelium at right.]] | ||
Mainly look for squamous vulvar intraepithelial lesions: | Mainly look for squamous vulvar intraepithelial lesions: | ||
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===Staging of vulvar cancer=== | ===Staging of vulvar cancer=== | ||
Tumors of the vulva are staged as per the AJCC, 8th Ed: | Tumors of the vulva are staged as per the AJCC, 8th Ed:<ref>{{AJCC-8}}</ref> | ||
{| class="wikitable" | {| class="wikitable" | ||
! colspan="3" |Primary tumor (T) | |||
|- | |- | ||
!TNM | |||
!FIGO | |||
| | |Criteria | ||
|- | |- | ||
|TX | |TX | ||
| Line 59: | Line 59: | ||
|IVA | |IVA | ||
|Tumor of any size with extension to any of the following proximal two thirds of the urethra, proximal two thirds of the vagina, bladder mucosa, or rectal mucosa or fixed to pelvic bone | |Tumor of any size with extension to any of the following proximal two thirds of the urethra, proximal two thirds of the vagina, bladder mucosa, or rectal mucosa or fixed to pelvic bone | ||
|} | |||
{| class="wikitable" | |||
! colspan="3" |Regional lymph nodes (N) | |||
|- | |- | ||
!TNM | |||
!FIGO | |||
|Criteria | |||
| | |||
|- | |- | ||
|NX | |NX | ||
| Line 105: | Line 106: | ||
|IVA | |IVA | ||
|Fixed or ulcerated regional lymph node metastasis | |Fixed or ulcerated regional lymph node metastasis | ||
|} | |||
{| class="wikitable" | |||
!colspan="3" |Distant metastasis (M) | |||
|- | |- | ||
!TNM | |||
!FIGO | |||
|Criteria | |||
| | |||
|- | |- | ||
|M0 | |M0 | ||
| Line 120: | Line 122: | ||
|Distant metastasis (including to pelvic lymph nodes) | |Distant metastasis (including to pelvic lymph nodes) | ||
|} | |} | ||
{{Bottom}} | <noinclude>{{Bottom}}</noinclude> | ||
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